The summary is a period of study, work or its completion of a comprehensive and systematic review and analysis of written materials, which allows us to identify errors and correct, so we have to write a summary. So you really know how to write a summary? The following is my collection of nurses to Hong Kong Hospital for further study summary, welcome to share.
In August, I had the honor to come to Hong Kong Queen Mary Hospital to study neonatal intensive care, because this learning opportunity is very rare, is by the hospital to fight for more than half a year to get the opportunity to learn, so before I came to, I think I must seriously learn their advanced nursing concepts and techniques, in order to be not in vain, but after I came to Hong Kong I realized that, in addition to learning, the most important is to experience the cultural differences between Hong Kong and the mainland, the most important is the experience. However, after coming to Hong Kong, I realized that apart from learning, the most important thing is to experience the cultural differences between Hong Kong and the Mainland. In just one month's time, I y felt that Queen Mary's Hospital's advanced hospital management mode, considerate occupational safety protection, and so on, many worthy of our learning.
I. Humanized management First of all, there is a good teamwork and a diversified nursing staff echelon. The nursing team in each ward has a ward manager, head nurse, specialist nurses and clinical nurses, all of whom work together to ensure the quality of nursing care in the ward while completing their own duties. In addition, there is also a machine manager who is responsible for the routine management of the instrument, debugging, maintenance, repairs and the purchase of spare parts; a health services assistant, who is responsible for replacing and replenishing the nursing supplies and keeping them in safekeeping; a ward assistant, who is responsible for the end-of-life dispositions and outgoing Ward assistants are responsible for end-of-life disposal and miscellaneous duties; medical secretaries are responsible for reception, internal and external contacts, and statistics, organization and storage of medical documents; and hygienists are responsible for ward hygiene (which is required to achieve a spotless result). By setting up the personnel in a careful manner, each person acts according to his/her duties, so that the patients feel a sense of security after being admitted to the hospital, and everything is under the care of the medical staff. Secondly, Mary's Hospital provides training in Occupational Safety and Health and Infection Control to every new staff member. Various health exercises on how to lift heavy objects and relieve fatigue are posted in the aisles of the wards, instructing staff on how to protect themselves at work so as to prevent accidents. Gloves should be worn when touching blood and body fluids, needles and sharps should be handled with care, and hands should be washed regularly to avoid cross infection. During the study period we learned that Mary's Hospital also carries out personnel quality training for its staff. At the beginning of the year, nurses set their own goals, and the head nurse will provide appropriate learning opportunities according to the goals set by the nurses themselves, and the HA organizes various types of learning classes every month to improve the quality of its staff. Regarding the clinical auditing of the nursing staff, Manager Tsai said one of the most classic words is that, when nurses make a mistake When a nurse makes a mistake, it is not a problem of the person, but a problem of the system. They will revise and improve the system according to this incident, instead of punishing the nurses, only in this way will mistakes be reported in time instead of being hidden, which will be conducive to improving the quality of nursing care and reducing the occurrence of errors and accidents. Hospital work is intense and heavy, the hospital in order to reduce the staff's work pressure, carried out a series of lectures, such as psychological counseling, how to reduce stress, etc. In addition, it also organizes physical exercise, and provides employees with Internet access, fitness, and even including karaoke in the clubhouse.
Second, advanced equipment and technical level and quality service Scientific and effective set of instruments is one of the more obvious features of Mary's Hospital. Centered on the hospital bed, the 1m high wall at the head of the bed is equipped with embedded devices such as negative pressure suction, oxygen, compressed air and power supply. All kinds of monitoring equipment, central suction, central oxygen supply equipment can be moved at will, and medical instruments and resuscitation and emergency tubes are all standardly placed in fixed positions on the instrument racks, making them easy to use. Each bed is equipped with a set of wall-mounted central monitoring equipment and connected to the central monitoring system at the nurse's station, which can monitor electrocardiogram, central venous pressure, invasive and non-invasive blood pressure, arterial pressure, and oxygen saturation at any time, and any plug-in can be changed to change the monitoring items. Others are added according to the patient's condition, such as neurological monitoring instruments, pca pain medication injectors, b ultrasound, gastrointestinal nutritional infusers, and arterial and venous catheterization systems. The equipment required for each type of disease that may be involved in each department is available and maintained in good condition at all times. In addition to this, the NICU is staffed by experienced doctors and nurses who are well versed in advanced medical treatments such as gulsum application, arterial blood pressure monitoring, umbilical arteriovenous cannulation, picc, and so on. They have successfully revived babies weighing as little as 430 grams, and they have done rop for premature babies less than 32 weeks of age, and hearing screening for every baby to detect congenital blindness and deafness for early treatment. The hospital pays close attention to humanized services, such as the use of cpap, will cut a pad pad between the nose and nose plugs to prevent skin damage and the occurrence of pig's nose, the face needs to be attached to the tape will be attached to the protective film, each warming box will have a cover cloth, the treatment is centralized in order to reduce the light and a variety of external stimuli, which will be conducive to the growth and development of the child. Specialized physiotherapists and occupational therapists are available for infants with special problems, and infants who are discharged from the hospital to continue rehabilitation are referred to other hospitals for treatment. Family-centered care is practiced throughout the hospital. A spacious play area in the general ward provides a child-free environment; the arrival of a daily play ambassador brings joy to the children; a full-time Red Cross teacher removes the worry of school-age children about their schooling; and parents are actively involved in the care of their children under the guidance of the nursing staff. In the nicu, nursing staff encouraged parents to visit their babies and do what they could to alleviate the anxiety of mothers and fathers not being able to see their babies, and promoted the closeness of newborns to their parents, reflecting a strong family atmosphere. Before a premature baby is discharged from the hospital, a prelude to discharge study class will be held for the parents, with special nurses doing explanatory and instructive work for the parents, so that the parents can bathe, dress and change the diapers of their premature babies until the parents are able to do so, and then they will be assured of handing over the premature babies to their parents. Discharged infants are followed up in outpatient clinics until they are two years old, and are given regular medical checkups by a specialist. The hospital's service standard is reflected in the standardized and appropriate way of service, showing concern and sympathy to the parents of the child. The service standard is naturally integrated into the service consciousness and applied in the medical practice. Wards for discharged patients set up a hotline for consultation, 24h responsible for providing all kinds of consulting services, so that patients and hospitals to maintain hotline contact, at any time to obtain professional guidance on medical services; each department is equipped with a variety of professional medical knowledge pamphlets, for people to freely access.
Three, rigorous work style In order to prevent the occurrence of errors, the hospital provides for the treatment of the doctor's orders of the amount of medication to be checked by the pharmacy, and then by two nurses to check the dose, before being used on the patient; for special treatments, such as blood transfusion, the application of Gelsemide, the two sides of the verification by the doctor by the doctor to carry out the treatment; the treatment in the can In the treatment, we will never use intravenous treatment, and most of the antibiotics are penicillin and stopped early. For the newly assigned students and advanced training nurses are taught by specialized nurses, who first understand the environment of the ward and the storage place of all kinds of articles, learn the use of each equipment and precautions, and the nursing techniques applied in clinical work, and are appointed to teach the teachers after passing the examination. All kinds of items used in the ward are using the x x x method (often organized, often clean, often tidy, often standardized, often self-discipline), fixed point and labeling, within easy reach; each child's bedside is equipped with a first-aid kit, a thermometer and stethoscope, etc., for fixed use, and final disinfection after discharge; the hospital advocates breastfeeding, but they are more stringent on breast milk, and will do bacterial cultures and require that breast milk must be frozen before consumption (remove the The hospital advocates breastfeeding, but they have strict requirements on breastmilk, and will do bacterial culture, and require that breastmilk must be frozen before consumption (except for direct feeding), and if any discomfort is found during the process of breastfeeding, it should be stopped immediately, and the mother must wait until she has fully mastered the collection of breastmilk, and the breastmilk can be consumed again only after it has passed the test; there is a corresponding flow chart for each nursing operation, and there is an assessment standard for each of these operations; each year, specialized nurses of the department and the nursing department will discuss whether the operations need to be improved or not; the doctor and nurse Strictly wash their hands before and after the operation, each patient is equipped with hand disinfectant before bed, and in the operation, if the operation fails, they must replace the medical items and never apply them repeatedly. This is because they know that if they do not comply with the rules and regulations, they will increase the chances of infection, thus jeopardizing the lives of the patients and their own health. The hospital has an independent infection control department that continuously monitors the infection situation in each department, and at the same time, counts the rate of surgical infection of each doctor, so as to target the infection rate to be pointed out individually. The infection control in the hospital is very good, and there is an independent negative pressure isolation room in the ward, where infectious diseases are identified and isolated, and infected and non-infected patients are strictly admitted into separate wards. Because of this, Mary's Hospital has done a very good job of infection control, even during the SARS outbreak, there was not a single case of nosocomial infection in their hospital.
Fourth, the enthusiasm and sincerity of Hong Kong people When I first came to Hong Kong, I often asked for directions because I didn't know my way around, and the locals, although they didn't speak Mandarin very well, would
enthusiastically talk to you, and even drew maps, and even showed us the way in person. The first time I came to Mary's Hospital, we asked the security guards how to get to the nurses' dormitory building because it was late at night, and they asked us if we were from xxxxx, and took us to the dormitory building in person, and when we got to the door of the dormitory building, we found that there was a note posted on the door to show us the way to the dormitory building, and I was really touched, and thought that they were really meticulous in their arrangement of the work. The next day, the janitor led us to buy phone cards and Octopus cards to guide us in our daily life. The manager of the nursing department also took time out of her busy schedule to invite us to dinner and asked us what difficulties we had in our study and life.
A month's time has passed in a flash, I would like to thank the hospital leadership for providing me with such a valuable learning opportunity, allowing me to contact and learn from the advanced medical technology and nursing concepts of Hong Kong Maryknoll Hospital, and to feel the civilization and advancement of Hong Kong. At present, Dushanzi is undergoing a period of great development, and in order to meet the needs of this development, the hospital has been sending its medical and nursing staff to the mainland and Xinjiang to learn about advanced management modes and medical technologies. I believe that through the efforts of all medical staff, we will be able to make Dushanzi Hospital a unique brand hospital in the Golden Triangle region and better serve the people of Dushanzi!
The aisles and wards of the pediatric ward are brightly colored, and there are also playrooms and toy cards
Children with meconium aspiration syndrome are treated with high-frequency ventilators and closed chest drainage
All items are neatly arranged according to the xxxxx method, and the labels are clearly visible
(2) Reflections of Nurse Zhang's further study at Queen Mary Hospital, Hong Kong
Recently. I was honored to be sent to the Queen Mary Hospital in Hong Kong for further study, in a month's short contact, through in-depth wards and face-to-face exchanges with their staff, personal experience and feel a world-connected with advanced management experience and excellent service system of the hospital's mode of operation, an all-round understanding of a Chinese and Western culture convergence of their own characteristics of the beautiful Hong Kong.
Overview of Queen Mary Hospital
Hong Kong's public **** the vast majority of funding for health care comes from the government, Queen Mary Hospital is a public hospital under the Hong Kong Hospital Authority, was established in 1937, but also the University of Hong Kong's teaching hospitals, is an acute general hospital, including: Emergency Department (24 hours), Internal Medicine, Surgery, Children and Adolescents, Obstetrics and Gynecology, ENT Oral and Maxillofacial Surgery and Dentistry, Ophthalmology, Clinical Oncology, Psychiatry, Microbiology, Pathology and Clinical Biochemistry, Radiology, Anaesthesiology and Brain Surgery. Allied health services include Physiotherapy, Occupational Therapy, Medical Social Services, Prosthetics and Orthotics/Podiatry, Clinical Psychology, Speech and Language Therapy, Nutrition and Pharmacy. It is also a tertiary referral center for advanced technologies such as radiotherapy, organ transplantation, neonatal intensive care, orthopaedics and brain surgery. Maryknoll Hospital provides a range of patient-centered community and support services, such as Patient Care Support at the Cancer Centre, Palliative Care Consultation and Cancer Counselling, Diabetes Care and Support, Community Nursing and Community Volunteer Service, Patient Resource Centre and Patient Co-operative Service.
Mary's Hospital has a core of values: expertise, compassionate care, and quality service.
Nurse training and nursing audit and standards
Nurses are categorized into registered nurses, enrolled nurses, nurse specialists and nursing directors. The highest level is the General Manager of Nursing, who is underpinned by a number of departmental working managers and ward managers. Nurses are required to accumulate 45 points in three consecutive years in order to have the chance of further promotion or salary increase. All these studies are done in their own spare time and under the supervision and help of the ward nursing manager
If a nurse fails to complete the course, the senior nurse specialist and the manager will try to create more opportunities to help her complete it.
The HA General*** has issued two editions of nursing standards and one edition of patient care practice guidelines. Based on these standards the hospital has also developed a number of ward workbooks with standardized textual information on various aspects such as crisis management, disaster response planning, ward operations, nursing operations, infection control, etc., with audit forms for quality of care. The quality of care in each department is evaluated and compared. The hospital has a specialized. Clinical audits are part of the clinical code of practice and are conducted by the clinical audit department, which conducts a comprehensive assessment and audit of all health care personnel, and checks and monitors each clinical procedure to ensure professional accountability and behavior. Clinical audits are not conducted with the intention of disciplining healthcare professionals because they believe.85 Medical errors are due to the system and they do not take names or punish. This ensures that there is no concealment of the facts, so that the auditors can quickly learn the truth and pinpoint the imperfections in the system that need to be improved.
Infection control
This is what I learned the most. Infection control at Queen Mary Hospital is quite good, with dedicated infection control doctors and nurses in each department to continuously check infection control in the unit. There are negative pressure isolation devices in the wards, where infected patients are strictly isolated, and patients are admitted to the hospital in strict zones, so that cross-infection in the hospital is never allowed to occur. What impressed me most was the hand-washing by the medical staff. Every day when the doctor comes to check on a patient, there are special medical utensils at the bedside of each patient, and they are never used crosswise. Every time a doctor sees a patient to contact another patient, he will certainly go to wash his hands first, they are equipped with hand-washing tucks and disinfectant in each ward of the hand-washing sink, hand-washing is completed with a special hand-washing paper for wiping, in the hospital escalators and halls of the hand-washing device is also a lot of, and there are special personnel to the inside of the things to add in a timely manner. In the outpatient clinic, we also saw that doctors wash their hands after seeing a patient before inviting another patient in. During our studies, we had the opportunity to attend an international lecture on hand washing, which showed how much importance they attached to such a seemingly simple issue! He was talking about the importance of handwashing, because a lot of handwashing will invariably increase the cost of health care, so it is easy to make this measure in the implementation of the difficulties, but according to their survey, if because of the hand problem increases the number of cases of an infection will increase the cost of health care of 1,500 U.S. dollars. Therefore, hand washing is one of the cheapest and most effective methods of infection control. They are very effective at infection control because they are very specific about what they are doing.
Staff quality assessment
Mary's Hospital, like us, writes a Staff Development Review every year for each member of staff to assess their core competencies. Ten areas are assessed, including medical care, clinical care, application of knowledge and skills, quality and risk management, personal attributes, professional attributes, teamwork, nurturing of talents, service development, legal and professional ethical standards, etc. The assessment is based on the staff's performance and overall performance, and it provides a basis for the staff's future development. So they assess the quality of an employee in an all-round way. During our study period, we will also communicate with the nurses below, and I found that many of their nurses, despite being ordinary nurses, look at the problem with a high degree of responsibility and a sense of mastery and responsibility in their work.
Humanized care between patients and staff
Their concern for patients is never verbal, but is actually implemented in their work. They don't talk big words, but the ultimate goal of their work is to ensure that care is precise and on point. As an example, their children's ward environment is beautifully decorated with cute cartoon patterns on the roof and walls, which is very cozy. There are games and books in one corner of the ward, and every week a play ambassador comes to the children's ward to play games with them and give them gifts. The Red Cross also arranges for teachers to come to the children's rooms to make up for the fact that they can't go to the classroom to learn. All of this makes life in the wards less boring and more fun for the children. We're here
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